Podcast 699: Pediatric Fingernail Avulsions

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Traditionally, fingernails were replaced after avulsion using sutures</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Sometimes artificial material was placed when the fingernail was not available</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Recent study evaluated treatment of fingernail avulsions pediatric patients by replacing the nail versus cleaning and putting a non-adhesive dressing</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">No difference in the aesthetics or patient satisfaction with the new fingernail between the two treatment groups</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Seiler M, Gerstenberg A, Kalisch M, Kennedy U, Scheer HS, Weber DM. Non-operative treatment versus suture refixation of the nail plate in paediatric fingernail avulsion injuries. J Hand Surg Eur Vol. 2021;46(5):523-529. doi:10.1177/1753193420965390</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "https://emergencymedicalminute.org/cme-courses/"><span style= "font-weight: 400;">https://emergencymedicalminute.org/cme-courses/</span></a> <span style="font-weight: 400;">and create an account. </span></p> <p><a href= "https://www.paypal.com/donate?token=6bIZ91UwjZALMiRLAEcQYYPHyLILwbivQwgtGl3JzaB6oGAQK1B2nrGSGvrS-g7zJApXzVlWIO-lmLfB"> <span style="font-weight: 400;">Donate to EM